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AFS INTERCULTURAL PROGRAMS

Reservation Form

PENDLETON ROUNDUP - SEPTEMBER 17th&18th - 2009


NAME: COUNTRY:

HOST FAMILY'S NAME

STREET ADDRESS:

CITY: STATE: ZIP:

PHONE NUMBER: (Home) (Work)

HIGH SCHOOL NAME:

RETURN THIS RESERVATION FORM TO:


Ronald Combs
2134 SE 60 Ave
Portland, Oregon 97215-4072
503-314-5243 r1p2combs3@aol.com

MAKE CHECK IN THE AMOUNT OF $85.00 PAYABLE TO: AFS Intercultural Programs

DEADLINE: Friday, September 11th, 2009

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